Course NURS-6551N-11,Primary Care of Women.

NURS 6551N-11 WEEK 11 LATEST FINAL EXAM VERSION 1

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Test Week 11 Final Exam

• QUIZ 1

2 out of 2 points

What is the leading cause of first-trimester maternal death?

CHOSEN ANSWER: a.

Ectopic pregnancy

• QUIZ 2

0 out of 2 points

Lois is complaining of leg cramps during her pregnancy. What would you suggest to relieve
them?

CHOSEN ANSWER: c.

Do several quick stretches to relieve the cramping.

Take calcium

• QUIZ 3

2 out of 2 points
What components make up the biophysical profile?
 CHOSEN ANSWER: b.

Fetal tone, breathing, motion, amniotic fluid volume, and nonstress test.

• QUIZ 4

2 out of 2 points

Which of the following instructions should be included in the discharge teaching plan to
assist the postpartal woman in recognizing early signs of complications?

CHOSEN ANSWER: d.

Notify your health-care provider of a return to bright red vaginal

bleeding.

• QUIZ 5

2 out of 2 points

Where does edema tend to occur in the pregnant woman’s body?

CHOSEN ANSWER: c.

Feet

• QUIZ 6

2 out of 2 points

What is the general goal of surgical treatment for stress UI?

 CHOSEN ANSWER: d.

To support and stabilize the urethra

• QUIZ 7

2 out of 2 points

To prevent breast trauma during the breastfeeding, the nurse practitioner should stress the
importance of

CHOSEN ANSWER: c.

Positioning of the infant

• QUIZ 8

2 out of 2 points

The primary endocrine disorders affecting women are diabetes mellitus and:

CHOSEN ANSWER: b.

Thyroid conditions

• QUIZ 9

0 out of 2 points

Pregnant women should know that folic acid can help to prevent neural tube defects. To be
most effective, women should take folic acid:

CHOSEN ANSWER: c.

Soon after a positive pregnancy test

 Before pregnancy -correct.

• QUIZ 10

2 out of 2 points

A 28-year-old pregnant patient gives a history of smoking 1 pack of cigarettes per day (1
PPD). The nurse practitioner is accurate when she tells the patient that cigarette smoking is
associated with:

CHOSEN ANSWER: c.

Intrauterine growth restriction

• QUIZ 11

2 out of 2 points

Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and:

CHOSEN ANSWER: a.

Age

• QUIZ 12

2 out of 2 points

What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy?

CHOSEN ANSWER: d.

Visits scheduled every 4 weeks

• QUIZ 13

0 out of 2 points

Nancy is concerned that her new breastfed baby is not getting enough fluid. What do you tell
her so that she can assess for an adequate intake?

CHOSE c.
N
ANSW If the infant is drinking and sleeping normally, an adequate intake is
ER: assumed.

Urinating six times a day-correct

• QUIZ 14

2 out of 2 points

At what time during pregnancy does nausea typically occur?

CHOSEN ANSWER: b.

At 6–8 weeks’ gestation

• QUIZ 15

0 out of 2 points

An autosomal recessive disorder such as cystic fibrosis is expressed in the offspring when:

CHOSEN ANSWER: c.

1 parent carries the gene

Both parents-correct

• QUIZ 16
 0 out of 2 points

The side effect of medroxyprogesterone (Depo-Provera) that often leads women to

discontinue use is:

CHOSEN ANSWER: a.

Heavy menstrual bleeding

Weight gain-correct

• QUIZ 17

2 out of 2 points

Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably
days after implantation of the blastocyst (fertilized egg).

CHOSEN ANSWER: b.

7–9 days

• QUIZ 18

2 out of 2 points

How are pregnancy-related DHA (docosahexaenoic acid) needs best met?

CHOSEN ANSWER: a.

By consuming 2 servings of fatty low-mercury-content fish per week

• QUIZ 19

0 out of 2 points
 An 18-year-old mother who is breastfeeding her 2-week-old infant, expresses concern about
how much milk the baby is getting. Which of the following parameters is reassuring to the
nurse practitioner that the infant is receiving adequate nutrition?

CHOSEN ANSWER: d.

The infant is nursing 6 times per day.

The infant has two stools per day

• QUIZ 20

2 out of 2 points

Spontaneous abortion refers to the loss of a fetus of less than

CHOSEN ANSWER: c.

22 weeks' gestation

• QUIZ 21

2 out of 2 points

What is considered to be a common trigger of psoriasis?

CHOSEN ANSWER: a.

Stress

• QUIZ 22

2 out of 2 points

Which of the following dietary changes would you recommend Heather, who is experiencing
 nausea during her firsts trimester?

CHOSEN ANSWER: a.

A bland diet taken frequently in small amounts

• QUIZ 23

2 out of 2 points

What tends to cause acne in adolescence?

CHOSEN ANSWER: d.

An increase in testosterone

• QUIZ 24

0 out of 2 points

Which of the following antibiotics is the best choice for acute pyelonephritis when it occurs
during the seventh month of pregnancy?

CHOSEN ANSWER: b.

Nitrofurantoin

Amoxillin

• QUIZ 25

2 out of 2 points

A 45-year-old patient voices concern about her hot flashes and irregular menstral periods.
What diagnostic test would the nurse practitioner order to confirm the beginning of
 menopause?

CHOSEN ANSWER: a.

Serum follicular stimulating hormone (FSH)

• QUIZ 26

2 out of 2 points

What is the recommended timing for gestational diabetes screening?

CHOSEN ANSWER: b.

24-28 weeks' gestation

• QUIZ 27

2 out of 2 points

A 20-year-old female patient presents with lower abdominal pain, moderate vaginal bleeding,
and right shoulder pain. Her blood pressure is 85/50 mmHg, pulse 140, respirations 28, and
temperature 98 deg. F. She has a history of pelvic inflammatory disease (PID). Her urine
pregnancy test is positive. Which of the following is the most likely diagnosis?

CHOSEN ANSWER: c.

Ectopic pregnancy

• QUIZ 28

2 out of 2 points

What is a contributor to the increased incidence of heartburn during pregnancy?

 CHOSE d.
N
ANSW The pregnancy hormone relaxin, which softens the lower esophageal
ER: sphincter

• QUIZ 29

2 out of 2 points

The reason most often cited to explain why women who have had a usual length of stay and
normal delivery discontinue breastfeeding before 8 weeks postpartum is:

CHOSEN ANSWER: d.

The perception that the infant isn't receiving enough milk.

• QUIZ 30

0 out of 2 points

After 28 weeks' gestation, all women should perform fetal movement counts (FMCs). Which
of the following statements regarding FMCs is true?

CHOSE c.
N
ANSW If decreased activity is perceived, a nonstress test (NST) should be
ER: performed at the next obstetric visit.

• QUIZ 31

2 out of 2 points

RhoGAM is indicated for an Rh-negative mother:

CHOSEN ANSWER: a.
 Within 72 hours of birth of an Rh-positive infant

• QUIZ 32

2 out of 2 points

Which of the following does not increase a woman's risk for developing cervical cancer?

CHOSEN ANSWER: b.

Nulliparity

• QUIZ 33

2 out of 2 points

The nurse practitioner is discussing contraception options to be used during lactation with a
24-year-old pregnant patient. Which of the following methods of contraception would not be
appropriate for use while breastfeeding?

CHOSEN ANSWER: b.

A low dose oral contraceptive

• QUIZ 34

0 out of 2 points

Patricia presents for her regularly scheduled prenatal visit at 34 weeks' gestation. During the
interview, you determine that Patricia has not felt fetal movement for the past week. On
examination, you are unable to auscultate the fetal heart tones. Which of the following would
be useful in the diagnosis of an intrauterine fetal death?

CHOSEN ANSWER: a.
 Chadwick's sign

• QUIZ 35

2 out of 2 points

Which of the following is the best description of the Lamaze method of childbirth education?

CHOSE d.
N
ANSW It uses a focal point for concentration while the woman does controlled
ER: breathing techniques.

• QUIZ 36

2 out of 2 points

Sandra, who is 5 months pregnant and of average height and weight, asks you how many
extra calories she should be adding to her diet per day. You tell her to add:

CHOSEN ANSWER: b.

300 calories

• QUIZ 37

2 out of 2 points

What is an indication of the second stage of labor?

CHOSEN ANSWER: a.

Complete dilation of the cervix

• QUIZ 38

0 out of 2 points

Heather, who is 5 weeks pregnant, is nauseous. She asks you how long this will last. You tell
her nausea usually disappears by the

CHOSEN ANSWER: a.

12th week

16weeks or 18 weeks

• QUIZ 39

2 out of 2 points

After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth?

CHOSEN ANSWER: c.

20 weeks

• QUIZ 40

2 out of 2 points

What is the rationale for anemia seen throughout gestation?

CHOSE a.
N
ANSW Mild dilutional anemia is seen because of an increased circulating blood
ER: volume.

• QUIZ 41

2 out of 2 points
 How does women’s anatomy make them more susceptible to UTIs?

CHOSEN ANSWER: d.

Their urethras are shorter.

• QUIZ 42

0 out of 2 points

During nursery rounds, you examine a 12-hour-old newborn. The infant has a yellow tint to
the skin and sclera. What lab test will you order to further evaluate this infant?

CHOSEN ANSWER: d.

Blood cultures

• QUIZ 43

2 out of 2 points

Minnie is experiencing Braxton Hicks contractions. What should she do?

CHOSEN ANSWER: a.

Go for a walk

• QUIZ 44

2 out of 2 points

Marci has had several abortions in the past and has been unable to carry a pregnancy to full
term because of an incompetent cervix. She states that the physician mentioned cerclage to
her and asks you what that means. You tell her that cerclage is:
 CHOSE b.
N
ANSW A method in which an apparatus resembling a diaphragm is placed over the
ER: cervix to help it stay "tight."

• QUIZ 45

0 out of 2 points

The Papanicolaou (Pap) smear report on a 36-year-old female patient indicates atypical
squamous cells of undetermined significance (ASCUS). Which of the following constitutes
appropriate care for this patient?

CHOSEN ANSWER: d.

Refer the patient to a gynecologist

Repeat test in 4 months-correct

• QUIZ 46

2 out of 2 points

Uncomplicated acute bacterial cystitis occurs in women who:

CHOSEN ANSWER: b.

Have no signs of upper tract infection

• QUIZ 47

2 out of 2 points

Jack is 4 weeks old and has oral candidiasis because his mother had an intrauterine infection
 that was successfully treated with antibiotics. What would you anticipate treating Jack with?

CHOSEN ANSWER: b.

Nystatin

• QUIZ 48

2 out of 2 points

When is a pregnant woman at risk for developing congenital rubella syndrome?

CHOSEN ANSWER: c.

During the first 16 weeks of pregnancy.

• QUIZ 49

2 out of 2 points

What distinguishes pyelonephritis from cystitis?

CHOSEN ANSWER: b.

The infection has ascended to the kidneys.

• QUIZ 50

0 out of 2 points

A 23-year-old pregnant patient who works as a secretary is a large law firm is seeing the
nurse practitioner for early pregnancy evaluation and education. It would be very important to
teach this patient about:

CHOSEN ANSWER: a.
 Avoidance of heavy lifting.

Having enough rest-correct

Not standing too much

• QUIZ 51

0 out of 0 points

When completing this quiz, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?

CHOSEN ANSWER: Yes

Sunday, February 9, 2020 12:48:20 AM EST